HomeMy WebLinkAbout0927 143535
Oeclaration ot Dornicile a~d Citisensi~lp ~
TO THE STATE AND COUNTY TAX ASSESSOR,
Sl. LUCIE COUNTY, FLORIDA:
This is my detlaration of Domicile and Citizenship in the State of Florida thst 1 am filing this day in acao~dante and
in conformiy with Chapter 222, Section 222.17, Florida Statutes.
I was formerly a legal res~deni of - S~racuse _ Nerr Ye r1r
(Ciy) (State) .
and I resided at -~3~_$COt H011Qe TcrrSC!? However I have changed my domiG~e
(St~eet and Number)
to and am and have been a bona fide resident of the State of Flo~ida since 5 day of
Merch 66 1928 Bucalypus Drive
_ , 19 and I reside at.
(Street a~d Number)
FORT PIERCE, SAINT LUCIE COUNTY, l~LORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residente and domicile in the State of Florida.
~,(Ihsert here any pertinent fads, such as sale of property or business, or relinquishment of employment
. :.~::;t;; rr: c •r:
. at ~p~,r domicile, ~emoval of family to ~ew domicile, purchase of home, etc.)
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~ FILEO AND RECORDED
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. ~ Bstabiishing residence 143535
_ ROGEr~ ~u~~~!twS, CLERK
ST. LUCIE COUNTY.
FIORIDA
Bnterng Stephanie Hill Stampalia in 6th Grade
r' Jef f req 1?tar loMe~Sta~palia in 3~:8 Grade
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1 FURTHER CERTIFY that 1 will oomply wifh all other requirements of a Is~al resident of this Siate.
I FURTHER CERTIFY that I have no intention to return to my former domicjle, and I intend to remain in FORT
PIERCE, SAINT LUCIE COUNTY, FLORIDA, permanently.
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~ (Name)
~ ~ ~ ~ C gatherine M. Sta,4palia
_ ~ . _ ~ ~ ~ (Address)
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~n Sworn fp a~id s~scribed before me this 14 day of ~Z~b , 19~lS
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~~'~U~K~ UR COURT Notary Public
By D.C. My Commiuion expires
~ (To 1~ ~x~aM~d in duplicah and ori~nal fil~d with Cl~k~ Cour1, and duplieat~ wiH~ Tax Aaaror.)
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